Organization Active NPI

Juracan Center LLC

  • Community/Behavioral Health Agency
  • Pleasant Grove, UT
National Provider Identifier
1710345749
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2391843-6004 Issued in UT
Legal business name
JURACAN CENTER LLC
Practice address
451 E 1000 S Ste B
Pleasant Grove, UT 84062-3735
Phone
(801) 310-3091
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marco Juracan, CMHC
Title
Clinical Director
Phone
(801) 310-3091

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2391843-6004 UT Primary
Community/Behavioral Health Agency 251S00000X 8155586-6004 UT
Community/Behavioral Health Agency 251S00000X 8937085-6009 UT
Community/Behavioral Health Agency 251S00000X 208519-6004 UT

Addresses

Primary practice location

451 E 1000 S Ste B
Pleasant Grove, UT 84062-3735

Mailing address

451 E 1000 S Ste B
Pleasant Grove, UT 84062-3735
Phone (801) 310-3091

National Provider Directory

National Provider Directory

Locations

451 E 1000 S
Ste B
Pleasant Grove, UT 84062
Phone (801) 310-3091

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1710345749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E 1000 S STE B",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623735",
            "telephone_number": "801-310-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E 1000 S STE B",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623735",
            "telephone_number": "801-310-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURACAN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "JURACAN",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-310-3091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "2391843-6004",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8155586-6004",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8937085-6009",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "208519-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.